COVID-19 大流行期间肠造口患者的远程医疗：一项回顾性观察研究。

Telemedicine in Patients With an Ostomy During the COVID-19 Pandemic: A Retrospective Observational Study.

机构信息

University of Naples, Federico II, Naples, Italy.

出版信息

Wound Manag Prev. 2021 Jan;67(1):12-17.

DOI:

PMID:33448938

Abstract

BACKGROUND

Italy instituted a lockdown from March 10 to May 3, 2020, due to the coronavirus disease-19 pandemic. All nonessential businesses were closed during this time, and health care services were reorganized. On March 11, the Stoma Care Center started providing telehealth services for patients with a stoma.

PURPOSE

This retrospective observational study describes the experience of the Stoma Care Center of the University Hospital Federico II, Naples, Italy, before and during the lockdown.

METHODS

Consultation records from January 1 through April 29 were retrieved, patient demographics and reasons for consultation abstracted, and pre-lockdown (January 1 to February 29) and lockdown (March 1 to April 29) information was compared. Patients who used telehealth services were also asked to rate their satisfaction with these services on a scale of 0 (extremely dissatisfied) to 4 (extremely satisfied). The authors analyzed all consultations provided from January to April 2020 and evaluated the use of telemedicine services for patients with an ostomy. Consultations were divided into 2 groups. Group A included consultations provided from January 1 to February 29. Group B included consultations provided from March 1 to April 29, which included the lockdown period. Group B included both in-person and telemedicine consultations.

RESULTS

During the pre-lockdown period, 240 in-person consultations were provided. During the lockdown period, 181 in-person and 99 telemedicine consultations were provided. The number of in-person consultations for mechanical bowel preparation and transanal irrigation system training was lower (12.5% vs 6.6% [P = .046] and 3.3% vs 0% [P = .03]), whereas the number of consults for stoma care follow-up and stoma complications was higher (202 [84.1%] vs 266 [95%]). Of the 65 patients who completed the questionnaire, 82% indicated being extremely satisfied.

CONCLUSIONS

The reorganization of stoma care services, including the availability of telemedicine, did not result in a decrease in the number of consultations provided. The results suggest that stoma care services using telemedicine may provide valid support for patients with an ostomy in the future.

摘要

背景

由于 2019 年冠状病毒病疫情，意大利于 2020 年 3 月 10 日至 5 月 3 日实施封锁。在此期间，所有非必要业务关闭，医疗服务进行了重组。3 月 11 日，斯托马护理中心开始为患有肠造口术的患者提供远程医疗服务。

目的

本回顾性观察研究描述了意大利那不勒斯 Federico II 大学医院斯托马护理中心在封锁前后的经验。

方法

检索 1 月 1 日至 4 月 29 日的咨询记录，提取患者人口统计学和咨询原因，并比较封锁前（1 月 1 日至 2 月 29 日）和封锁期间（3 月 1 日至 4 月 29 日）的信息。还要求使用远程医疗服务的患者对这些服务的满意度进行 0（非常不满意）到 4（非常满意）的评分。作者分析了 2020 年 1 月至 4 月提供的所有咨询，并评估了肠造口术患者使用远程医疗服务的情况。咨询分为 2 组。A 组包括 1 月 1 日至 2 月 29 日提供的咨询。B 组包括 3 月 1 日至 4 月 29 日提供的咨询，包括封锁期间。B 组包括亲自就诊和远程医疗咨询。

结果

在封锁前期间，提供了 240 次亲自就诊咨询。在封锁期间，提供了 181 次亲自就诊和 99 次远程医疗咨询。机械性肠道准备和经肛灌洗系统培训的亲自就诊数量减少（12.5%比 6.6%[P=.046]和 3.3%比 0%[P=.03]），而造口护理随访和造口并发症的咨询数量增加（202[84.1%]比 266[95%]）。在完成问卷的 65 名患者中，82%表示非常满意。